Individual
ALLISON TIPTON
Active
Individual
ALLISON TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-310
WY
225X00000X
Occupational Therapist
OTR310
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118757100
—
WY
01
—
192552
WORK COMP
WA
01
—
315270
BLUE CROSS BLUE SHIELD
WY
05
—
3401700
—
MT
01
—
670002233
RAIL ROAD MEDICARE
WY
Enumeration date
09/29/2006
Last updated
09/16/2020
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